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t lAST HAME - fIRS~ HANE MlpplE NMAE ? SEAViGE NU~~BEN ] SOC~AL SECUR1111 NUMBER
~ HENMY Jack N Jr B35 70 75 264 11 0296
~ 1 ARTY Ni, COµ N NT AND BRANC?~ ON CIASS S• A . p4 OR R4NK ~ V4v 6 At IJONTN rEAR
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= Na - USN SN E-3 RANK O1 AUG 70
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~ t0a SEIECiWESERVtCENUMBEA •SEIECT~vESEpYiCElOC418JARDNU~I18ER.CITV,COUNTY,STATfAMDLIPCOOF ~ DATE~NDUCTED
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N USS NEWPORT NEWS CA-148) Under Honorable Conditions DD 257N
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t D.O.T_ NUMBER 13! 70T.~L lL~+t III P~4+1.1wt
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R W SHL 3150/0000 Launder~l$ Occups. <<OpEiGNnHUaRSEwSERV~CE QO 10 02
~ j 7~ OECORATIO'VS. ME04S5. BADGiS. COMMEA1DAiiONS. C~TATIONS 4ND UMYAIGN R~d90N5 AWARDED OM AUTNQRIIEO
~ W National Defense Service Medal X `FIlEO AND RECORDEO~ g
~ " X X ST, lUC=E COUNTY, ~LA.' X
~ X X R~CCRf) `~Fw~=r~C _ X
~ 75 EOt/G1T10N ANO TRAIN~~~G CQNiLETED ~
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~ X X CLER~ CIRCUIT COURT~ X
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~ 3p REMARKS
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1?ENMANENi AppqESS i R MAIUNG PURPOSESAiifR iRANSfEN ON OI$CHARGE 7? S~ATURE O~ PERSpNOEING TRANSfERREDOR OISCHARGED
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~ 1508 Ave. I, Ft. Pierce, Fla. 33450 .!~.~'r ~.i'r l
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~ ~ bTY~EDMAME,GRAOfAhOTIiIEOfAUTNONIZINGOiF~CFN 3~ NATUREO~OiFICERAUTKOAl1ED S~
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